Treating Dizziness and Imbalance from Binocular Dysfunction and Visual Deficits

Feeling dizzy or off-balance can be frustrating and disruptive, especially when the root cause is unclear. While these symptoms are often associated with inner ear or neurological issues, many people are surprised to learn that visual problems can also play a major role. At Vizen Optometric Center, we take a comprehensive approach to evaluating and treating dizziness and balance concerns that may stem from visual deficits. One of the most common, yet underdiagnosed, culprits is binocular vision dysfunction.
 

What Is Binocular Vision Dysfunction?

Binocular vision dysfunction (BVD) occurs when the eyes struggle to work together as a team. This misalignment can be subtle, but even small discrepancies between how each eye processes visual input can lead to symptoms like:

• Dizziness or a floating sensation

• Difficulty with balance and spatial awareness

• Headaches or eye strain

• Nausea, especially when reading or in visually complex environments

• Poor coordination and clumsiness
   

These symptoms can mimic other medical conditions, which is why a detailed vision evaluation is essential in uncovering the true cause.
 

Vision Therapy and Neuro-Optometric Rehabilitation

When binocular vision dysfunction is diagnosed, customized vision therapy and neuro-optometric rehabilitation can retrain the brain and eyes to work more effectively together. This therapy may include exercises that improve eye tracking, focusing, convergence, and visual processing skills. Each program is tailored to the patient and often requires consistent follow-up and guidance from our team. For patients with more complex symptoms, we may also incorporate balance-based therapy techniques to address how visual input affects movement and stability.
 

The Role of Prism Lenses and Advanced Refraction Techniques

Prism lenses can be a powerful tool for those with binocular dysfunction. These lenses help realign visual input so the brain receives a more accurate and comfortable image. Determining whether a patient may benefit from prism correction requires careful evaluation, often involving both seated and standing refraction.
 

Seated refraction is the standard method of determining a glasses prescription, but for patients experiencing postural instability or visual-vestibular issues, a standing refraction may be warranted. This approach helps identify how the eyes perform when the body is upright and interacting with gravity - more closely mirroring real-world conditions.
 

Collaboration with PRI Physical Therapists and Other Providers

Treating dizziness and imbalance caused by visual deficits often requires a collaborative approach. Our team frequently works with physical therapists trained through the Postural Restoration Institute (PRI), who specialize in treating postural misalignments that affect balance and coordination. Because posture, eye alignment, and head positioning are deeply interconnected, this partnership enhances the effectiveness of treatment.
 

Additionally, we may coordinate care with neurologists, vestibular specialists, or primary care physicians to ensure that each patient receives comprehensive support and that no underlying conditions are overlooked.
 

A Whole-Body Approach to Vision and Balance

At Vizen Optometric Center, we believe in looking beyond standard vision correction. When a patient is experiencing persistent dizziness or balance problems, we go deeper to uncover the source. Whether through vision therapy, prism lens correction, or interdisciplinary care, our goal is to restore function and help each patient regain confidence in their movements and visual world.
 

If you are struggling with unexplained dizziness or balance issues, your vision may be part of the puzzle. Schedule a binocular vision evaluation at Vizen Optometric Center to help you find clarity, comfort, and stability. Visit our office in San Gabriel, California, or call (626) 667-2700 to book an appointment today.